August 22, 2018 Cynthia Stark-Wickman, M.Ed., CPP, Executive - PowerPoint PPT Presentation

Strengthening Families as a Collaborative Community Effort August 22, 2018 Cynthia Stark-Wickman, M.Ed., CPP, Executive Coordinator prevention@sanjuanco.co 360.370.7516 1

The mission of the San Juan Island Prevention Coalition is to reduce substance abuse by youth and to create a community culture supporting healthy choices and responsible behaviors in youth and adults. Our vision: Islanders making healthy choices 2

Purposes of today’s presentation  Aim 1 – To update the SJIHD#1 on the progress of the Strengthening Families Program for Parents and Youth 10-14 (SFP) prevention initiative  Aim 2 – Share the plan for moving forward through 2018 into 2019 3

Health Care Authority’s Prevention System: Community Prevention and Wellness Initiative (CPWI)  Current funding level is $110,000 per year  13,800 federal Partnership for Success  70,000 federal Substance Abuse Block Grant  24,000 WA Dedicated Marijuana Account  2,200 WA General Fund Admin 4

SJIPC’s Goals  Increase community connectedness  Reduce favorable attitudes toward the problem behavior (youth drug use, misuse, and addiction)  Decrease community laws and norms favorable to youth use of alcohol, tobacco, marijuana, prescription drugs and medicines  Decrease the risk factor of low enforcement of alcoh0l and marijuana laws (includes adults providing substances) 5

San Juan Island Prevention Coalition Logic Model revised 08.18.2015 Local Strategies & Intervening Conditions Behavioral Evaluation Local Long-Term Variables and Health Plan Implementati Consequences Contributing Problems (Risk/Protective on Factors (Consumption) Factors) (10-15 years) (2-5 (6 months – 2 (5-10 Action Outcome years) years) years) So what? How will But why here? What are we doing about it? s Why here? What is the Why ? we know? problem? …can be addressed thru …with these common …specifically in our these strategies… factors… community… …and we will use These types of these tools to Community problems… Community Engaging multiple measure our Engagement/Coalition community Disorganization/ impact… development: stakeholders including Any Underage Community These Community parents and youth with Drinking San Juan Island Connectedness problems… engagement/Coalit community resources/ Prevention Coalition ion development: providers in local Availability: Retail and Underage decisions. Annual Coalition Public Awareness: Mental Social Access::Alcohol, Problem and Survey Media Advocacy for Health Marijuana, Prescription Law Enforcement in Heavy Drinking Sustainability Risks of Youth Vaping, Drugs, Tobacco ( including public locations on SJI Documentation e-cigs/vaping) Marijuana Use, Legalization of Any Underage Promotion and Laws: Enforcement Actions Public Awareness: recreational Marijuana Use Enforcement; Penalties; Youth marijuana that include Process measures Regulations food and beverage Community Survey Delinquency Environmental Any Underage products Marijuana Education Strategies: Favorable Attitudes/ New nicotine delivery Prescription Drug • Emphasis Patrol Environmental Perception of Harm systems that youth and Medication • Medication Take Back Strategies: perceive as safer sold in Friends Who Use School Abuse Process measures, SJI stores Low Commitment to School-based Prevention/ Performance ODSS, Community School Intervention Services : Survey; HYS Any Underage Youth think that regular Student Assistance Tobacco Use us of marijuana is not Family Management Prevention/ harmful Program: Project Problems Intervention Youth perception of SUCCESS Any Youth Services: pre/post adults disapproval is too Risk & Protective Factors: Depression, with OSPI Direct Services: low Anxiety, and • Favorable Attitudes Strengthening Families Direct Services: Youth exposure to Suicidal Ideation Towards Drug Use Community Mentoring Assigned Program favorable alcohol, LifeSkills Training 6-9 pre/post and process marijuana, and tobacco • Family History of the Second Step K-5 messages from their measures; HYS Problem Behavior peers. 6 State Assessment Local Assessment Plan/Implementation Reporting/Eval

How does the San Juan Island Prevention Coalition Monitor its progress? 7

Data Driven Decision-Making Washington State Healthy Youth Survey www.AskHYS.net Monitoring the Future www.monitoringthefuture.org University of Michigan National Institute of Drug Abuse (NIDA) National Institute of Health (NIH) 8

Perceived Risk of Regular Drug Use Moderate + Great Risk: Grades 6, 8. 9,10,11,and 12 100 91 91 91 90 86 82 81 74 79 77 80 76 71 6 68 67 70 Percentage of Youth 59 8 58 58 60 53 44 9 50 10 40 11 30 12 20 10 0 Alcohol Marijuana Tobacco 9

Alcohol: 30 Day Use 60 52 51 P e 47 47 50 r 44 c 41 e 39 37 37 n 40 34 t 32 32 a U g 28 30 s e 24 e 21 o 19 f 20 16 14 13 13 Y 9 o 8 8 7 10 u 4 4 3 t 2 2 2 0 0 h 0 2002 2004 2006 2008 2010 2012 2014 2016 Grade 6 Grade 8 Grade 10 Grade 12 10

Marijuana: 30 Day Use 38 40 35 P 33 33 33 35 e 32 r 30 30 c 30 e 25 25 n 23 t 25 22 a g U 20 17 17 e s e o 15 f 9 8 8 10 Y 7 o 5 4 4 u 5 2 2 2 t 0 0 0 0 h 0 2004 2006 2008 2010 2012 2014 2016 Grade 6 Grade 8 Grade 10 Grade 12 11

Cigarette: 30 Day Use 40 P e 34 35 r c e 30 n 27 t a 25 g e 20 20 19 20 o 17 16 16 f 14 15 Y 12 11 11 o u 8 8 10 t 7 7 7 6 h 3 5 2 2 2 2 U s 0 0 0 0 e 0 2004 2006 2008 2010 2012 2014 2016 Grade 6 Grade 8 Grade 10 Grade 12 12

Grade 10 Self Report Use: All Drugs 45 What about 40 meth and 35 opiates 2004 (heroine, Rx 30 2006 pain meds)? 25 2008 % 20 2010 15 2012 10 2014 5 2016 0 Cigarettes Alcohol Marijuana Rx Pain All Other Killers Drugs 13

Grade 10 Alcohol Use Trends Ever Used 67 65 60 57 55 54 54 Current Use 41 Current Use 37 Ever Used 33 32 Binge 28 25 24 22 21 19 15 Binge Drinking 13 11 9 2004 2006 2008 2010 2012 2014 2016 14

Alcohol: 30 Day Use - Cohorts Cohorts By Graduation Year 51 28 2013 14 0 34 21 2015 9 3 12 37 10 37 2017 13 7 8 6 24 2019 8 4 2021 13 0 0 10 20 30 40 50 60 15

Strengthening Families Program 10-14  Family Skills Training  Designed to enhance school success and reduce youth substance abuse  Parents/guardians learn about risk factors for substance abuse, enhancing parent-child bonding, monitoring parental guideline…Children learn resistance skills 16

Why Strengthening Families?  Evidenced-Based Program- well researched for success; has state support systems  Addresses both the family and the youth  Cost benefit analysis indicates a $ 5,805 cost benefit per individual (see page 7 in handout)  Opportunity to advocate the program to all parents and guardians through primary care physicians, nurse practitioners, as well as school, community, counseling, and recreation 17

Strengthening Families Program 2018 Phase 1: Training and Planning  Spent about $ 14,500  Training Costs – 6 persons, 3 days 9,500  Program Trainer Guides and Materials 1,000  Staff and Coordination Time 4,000 18

Strengthening Families Program 2018-2019 Needs for Phase 2  Estimated Need $ 10,000 Planning and Implementation  Fall 2018 - Seven sessions for parent/youth  Fall 2019 - Seven sessions for parent/youth 19

Thank You! 20